<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>报修申请</title>
</head>
<link rel="stylesheet" href="/static/layui/css/layui.css" media="all"/>
<link rel="stylesheet" href="/static/css/public.css" media="all" />
<link rel="stylesheet" href="/static/css/repair.css" media="all" />
<body class="childrenBody">
<form class="layui-form layui-row layui-col-space10">
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>姓名：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input userName" AUTOCOMPLETE="off" name="userName" lay-verify="required|Chinese" placeholder="请输入您的姓名">
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>工号：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input jobId" AUTOCOMPLETE="off" name="jobId" lay-verify="required|numAndLetter" placeholder="请输入您的工号">
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>电话：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input userTel" AUTOCOMPLETE="off" name="userTel" lay-verify="required|number|phone" placeholder="请输入您的电话号码">
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>报修位置：</label>
                    <div class="layui-input-block">
                        <input type="text" class="layui-input location" AUTOCOMPLETE="off" name="location" lay-verify="required" placeholder="请输入报修具体位置">
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>紧急程度：</label>
                    <div class="layui-input-block emergency">
                        <input type="radio" name="emergency" value="1" title="非常重要">
                        <input type="radio" name="emergency" value="2" title="重要">
                        <input type="radio" name="emergency" value="3" title="普通" checked>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <label class="layui-form-label"><span class="required">*</span>问题描述信息：</label>
                    <div class="layui-input-block">
                        <textarea  class="layui-textarea detailInfo" AUTOCOMPLETE="off" name="detailInfo"  lay-verify="required" placeholder="请详细说明" ></textarea>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <input type="hidden" name="photo">
                    <label class="layui-form-label">图片描述：</label>
                    <div class="layui-input-inline">
                        <div class="layui-upload-drag" id="photoImg">
                            <i class="layui-icon"></i>
                            <p>点击上传图片，或将图片拖拽到此处</p>
                        </div>
                    </div>
                    <div class="layui-input-inline">
                        <div class="layui-upload-list">
                            <img class="layui-upload-img headImage" src="http://t.cn/RCzsdCq" id="demo1">
                            <div id="demoText"></div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-col-md4 layui-col-md-offset4 layui-col-xs12">
        <div class="layui-row layui-col-space10">
            <div class="layui-col-md12 layui-col-xs7">
                <div class="layui-form-item magt3">
                    <div class="layui-input-block">
                        <a class="layui-btn layui-btn-sm" lay-filter="advise" lay-submit><i class="layui-icon">&#xe605;</i>申请报修</a>
                    </div>
                </div>
            </div>
        </div>
    </div>
</form>
</body>
<script type="text/javascript" src="/static/layui/layui.js"></script>
<script type="text/javascript" src="/static/page/user/user_repair.js"></script>
<script type="text/javascript" src="/static/js/regExpCheck.js"></script>
</html>